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A functional status assessment instrument: validation in an elderly population

O L Deniston, A Jette

    Health Services Research
    |January 1, 1980
    PubMed
    Summary

    This study on arthritis patients found that self-reported functional status, including dependence and pain in daily activities, aligns with patient experiences. However, it does not correlate with professional assessments, suggesting differing perspectives on joint conditions.

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    Area of Science:

    • Gerontology
    • Rheumatology
    • Health Sciences

    Background:

    • Functional status is crucial for quality of life, especially in elderly populations.
    • Arthritis significantly impacts daily living and functional capabilities.
    • Measuring functional status accurately is essential for effective patient care and research.

    Purpose of the Study:

    • To evaluate the validity of a system for measuring functional status in elderly individuals with arthritis.
    • To explore the relationship between patient-reported outcomes and professional assessments of arthritis impact.

    Main Methods:

    • Utilized a system measuring Activities of Daily Living (ADL) across dimensions of dependence, difficulty, and pain.
    • Collected data from elderly participants diagnosed with arthritis.

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  • Compared instrument scores with client self-reports and professional assessments of joint condition and arthritis management.

    • Main Results:

    • Client-reported scores on ADL dimensions (dependence, difficulty, pain) positively correlated with self-reported joint conditions, coping abilities, and frequency of 'good days'.
    • Instrument scores showed no correlation with professional assessments of joint condition or arthritis management ability.
    • Professional assessments of the client's joint condition and arthritis management ability were correlated with each other.

    Conclusions:

    • Client and professional definitions of joint condition appear to differ.
    • Client-reported functional status, as measured by the ADL system, is more closely aligned with their own perception of their condition than with professional evaluations.
    • The study highlights the importance of incorporating patient-reported outcomes in assessing functional status and quality of life in arthritis patients.